Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.51 / $6,149.17 / $12,155.00	Facility		$282.51	$6,149.17	$12,155.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.32 / $197.92 / $781.03	Facility	52	$115.32	$197.92	$781.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $598.23 / $1,534.07	Professional		$207.01	$598.23	$1,534.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $103.51 / $513.65 / $708.46	Professional	52	$103.51	$513.65	$708.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $782.68 / $2,935.63	Professional		$244.09	$782.68	$2,935.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $429.01 / $1,862.38 / $2,144.44	Professional		$429.01	$1,862.38	$2,144.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,571.00 / $15,760.16 / $30,058.58	Facility		$9,571.00	$15,760.16	$30,058.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.06 / $1,202.16 / $2,026.57	Professional		$193.06	$1,202.16	$2,026.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.04 / $1,488.75 / $3,972.49	Professional		$1,113.04	$1,488.75	$3,972.49